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| Section | Weight | Objectives |
|---|
| Professionalism and Regulatory Compliance | 18% | - Professional conduct and ethics - Regulatory compliance and standards
|
| Patient Identification, Assessment and Site Preparation | 17% | - Patient identification verification - Patient assessment - Venipuncture site preparation
|
| Specimen Processing and Transportation | 10% | - Specimen labeling and documentation - Specimen processing procedures - Specimen transportation requirements
|
| Equipment Selection and Maintenance | 10% | - Phlebotomy equipment selection - Equipment maintenance and care
|
| Infection Control and Safety | 16% | - Safety protocols and equipment - Infection control procedures
|
| Collection of Blood and Non-Blood Specimens | 29% | - Patient recovery and adverse reactions - Venipuncture techniques - Capillary collection techniques - Non-blood specimen collection
|
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Medical Technology AMCA Phlebotomy Technician Certification Exam Sample Questions (Q11-Q16):
NEW QUESTION # 11
For venipuncture, which vein should always be selected as the last option?
- A. Dorsal metacarpal
- B. Basilic
- C. Cephalic
- D. Median cubital
Answer: B
Explanation:
For venipuncture, the vein that should always be selected as the last option is the basilic vein because it lies near the brachial artery, so accidental arterial puncture may occur. Additionally, nerves run parallel to the basilic vein, increasing the risk of injury to the nerve. The order in which the veins should be inspected is: median cubital, cephalic, basilic, dorsal metacarpal, and wrist. For venipuncture, the basilic vein goes to the end of the list.
NEW QUESTION # 12
When venipuncture is performed in edematous tissue, the results will likely be:
- A. Inconclusive
- B. Contaminated with bacteria
- C. Altered
- D. The same as those from normal tissue
Answer: C
Explanation:
When venipuncture is performed in edematous tissue, the results will likely be altered because the sample may contain tissue fluid. Additionally, veins are often harder to locate in edematous tissue, and bleeding may persist longer than usual. Edematous tissue is more prone to injury from the tourniquet because the tissue is stretched. Whenever possible, a nonedematous site should be used for venipuncture. If the edema is because an IV has infiltrated, the phlebotomist must notify the nurse immediately.
NEW QUESTION # 13
Waived tests are:
- A. Tests that are not required for a specific diagnosis
- B. Complex tests that require special handling
- C. CLIA-designated tests that are fairly simple and carry a low risk of error
- D. Tests that cannot be carried out by phlebotomists
Answer: C
Explanation:
Waived tests are Clinical Laboratory Improvement Amendments (CLIA)-designated tests that are fairly simple and carry a low risk of error, so they are generally reliable if carried out properly and if the equipment is in operating condition. Most point-of-care (POC) tests are waived, although not all are. Phlebotomists may only carry out POC tests that are waived. Waived POC tests may be used in the home environment. For example, glucometers are used by both healthcare providers and patients to monitor blood sugar.
NEW QUESTION # 14
Which of the following statements regarding arterial puncture is FALSE?
- A. The chance of a hematoma is increased.
- B. The patient should be checked for allergies before the procedure.
- C. A patient afraid of needles should be calmed down.
- D. A phlebotomist may be trained to perform the procedure.
Answer: D
Explanation:
Only physicians or specially trained emergency room personnel are qualified to perform arterial puncture; a phlebotomist is not trained to perform this procedure. Patients should be checked for allergies and must be in a steady state: thus, a patient who is afraid of needles must be calmed before the procedure. The risk of hematoma is increased with arterial puncture.
NEW QUESTION # 15
When a fasting urine test is ordered for glucose testing, which of the following must be collected?
- A. The first urine specimen voided after a specified period of fasting
- B. The second urine specimen voided after a specified period of fasting
- C. Any urine specimen after a specified period of fasting
- D. The third urine specimen voided after a specified period of fasting
Answer: B
Explanation:
When a fasting urine test is ordered for glucose testing, the second urine specimen voided after a specified period of fasting usually 8 hours, should be collected. The first specimen, which is affected by food eaten before the fasting period, is discarded. If a first-voiding specimen is ordered, it is usually collected first thing in the morning after approximately 8 hours of sleep. First-voiding specimens are usually more concentrated than subsequent voids. Random urine specimens may be obtained at any time.
NEW QUESTION # 16
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